Mt Auburn Prof Services | |
One Arsenal Marketplace Watertown MA 02472-2861 | |
(617) 673-1851 | |
(617) 499-5579 |
Full Name | Mt Auburn Prof Services |
---|---|
Speciality | Internal Medicine |
Location | One Arsenal Marketplace, Watertown, Massachusetts |
Authorized Official Name and Position | Brian Smith (CFO) |
Authorized Official Contact | 4052456238 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mt Auburn Prof Services One Arsenal Marketplace Watertown MA 02472-2861 Ph: (617) 673-1851 | Mt Auburn Prof Services One Arsenal Marketplace Watertown MA 02472-2861 Ph: (617) 673-1851 |
NPI Number | 1255674636 |
---|---|
Provider Enumeration Date | 04/03/2013 |
Last Update Date | 05/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255674636 | NPI | - | NPPES |
110078204C | Medicaid | MA | |
603255 | Other | MA | TUFTS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Massachusetts) | Primary |
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